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  1. psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
    January 01, 2024 - a stroke as those who had not been scanned.36 This finding suggests that clinicians were correctly identifying … Non-contrast brain CT scan has extremely poor sensitivity for identifying TIA or early ischemic strokes
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867206/psn-pdf
    December 18, 2024 - a stroke as those who had not been scanned.36 This finding suggests that clinicians were correctly identifying … Non-contrast brain CT scan has extremely poor sensitivity for identifying TIA or early ischemic strokes
  3. psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
    February 08, 2023 - stroke as those who had not been scanned. 36 This finding suggests that clinicians were correctly identifying … Non-contrast brain CT scan has extremely poor sensitivity for identifying TIA or early ischemic strokes
  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
    January 01, 2021 - – Protecting the patient’s safety in this case involved identifying and implementing measures to
  5. psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
    July 23, 2024 - like CMQCC’s vaginal birth initiative, CMQCC leaders say that it is important to start with clearly identifying
  6. psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
    December 23, 2020 - Protecting the patient’s safety in this case involved identifying and implementing measures to protect
  7. psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - passive stretch of the compartment should prompt investigation for possible compartment syndrome. 20 Identifying
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43723/psn-pdf
    October 03, 2017 - Shining a Light: Safer Health Care Through Transparency. October 3, 2017 Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015. https://psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency Health care has historically treated data as something to be safeguarded rat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45893/psn-pdf
    August 28, 2017 - Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. August 28, 2017 Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended safety threats associated with …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74050/psn-pdf
    November 10, 2021 - Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021 Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision- making biases on cancer adverse effects among …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60202/psn-pdf
    April 08, 2020 - Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study April 8, 2020 Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an electronic clinical decision support …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39082/psn-pdf
    January 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45491/psn-pdf
    May 09, 2017 - A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. May 9, 2017 Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing errors generated from using computerize…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41027/psn-pdf
    September 01, 2016 - Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. September 1, 2016 Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - US emergency department visits for outpatient adverse drug events, 2013–2014. December 20, 2017 Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:10.1001/jama.2016.16201. https://psnet.ahrq.gov/issue/us-emergenc…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42144/psn-pdf
    March 27, 2013 - Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. March 27, 2013 Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory ca…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40963/psn-pdf
    November 30, 2011 - Association between Leapfrog safe practices score and hospital mortality in major surgery. November 30, 2011 Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/MLR.0b013e318238f26b. https://ps…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42969/psn-pdf
    October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47104/psn-pdf
    December 04, 2018 - Deriving a framework for a systems approach to agitated patient care in the emergency department. December 4, 2018 Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018;44(5):279-292. doi:10.1016/j.j…

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